Marc Short and Brian Blase write,
The CBO’s methodology, which favors mandates over choice and competition, is fundamentally flawed. As a result, its past predictions regarding health-care legislation have not borne much resemblance to reality. Its prediction about the Senate bill is unlikely to fare much better.
1. Note that both authors work in the Trump Administration.
2. Sherry Glied and others wrote,
This analysis finds that the CBO overestimated marketplace enrollment by 30 percent and marketplace costs by 28 percent, while it underestimated Medicaid enrollment by about 14 percent. Nonetheless, the CBO’s projections were closer to realized experience than were those of many other prominent forecasters.
I would not take the position that there is an obviously better model than what the CBO uses. The problem in the policy environment is that CBO estimates are treated as scientific truth. This misleads participants in the policy process into believing that predicting the outcomes of policy is a science. This in turn biases policy toward aggressive intervention.
The false belief in economic science imposes a real cost. Legislators and bureaucrats become overconfident in their ability to manage market processes.
Catherine Rampell takes the opposite point of view as mine.
Contrary to the predictions of economists everywhere, the HHS propaganda document claims that the Cruz amendment would cause insurance coverage to go up and premiums to fall. Astoundingly, even premiums for people in the Obamacare-compliant plans — which, again, economic theory suggests would get stuck with only the very sickest, most expensive Americans — would allegedly decline relative to current law. (Compare “2020 Current Law Enrollment Weighted Average” to “2020 Silver ACA Compliant” in the chart below.)
This is garbage, and exactly why we need nonpartisan scorekeepers like the CBO.
Rampell is right to attack the memo that she criticizes. But she is wrong to wish to anoint the CBO as a scientific umpire.
Suppose that the CBO were asked to “score” the employment effects of a minimum wage increase, and suppose that their most preferred model projected a large decrease in employment. Would the Catherine Rampells and the Mark Thomas be so eager to say that “this is exactly why we need a CBO”–in order to settle the argument about the minimum wage?
If the science is not definitive with respect to the employment effect of the minimum wage, then it is surely not definitive with respect to the insurance-market effect of allowing health insurance companies to offer less comprehensive policies with lowerpremiums. The CBO should not be the ultimate arbiter of contested economic analysis.